Sioux Falls, SD has 8 licensed nursing homes listed on ElderCareCosts. The median estimated cost is $9,527/mo. That's roughly in line with the South Dakota state median. Sioux Falls nursing homes runs large: 43% of licensed providers have 100 beds or more, and the typical one has 98.
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Median monthly price, Sioux Falls
$9,527/mo
Estimated range $9,242 – $11,242
● Sioux Falls $9,527 ○ National median $10,205
2025 figures
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Home care in Sioux Falls runs about $45 an hour. Here is what common schedules cost a month:
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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.
Here is what different monthly budgets cover in Sioux Falls.
Sioux Falls is a market of larger communities. 43% have 100 beds or more, and the typical one has 98 beds, against 50 across South Dakota.
On the most recent inspection on file, federal inspectors recorded an average of 21.9 findings per provider here, above the South Dakota average of 14.7.
1 of the 6 nursing homes here with a current CMS rating hold four or five stars, 17% against 38% across South Dakota.
Sioux Falls, in Minnehaha County, has about 201,469 residents. About 28,329 of them (14%) are 65 or older. The median household income is $75,970.
Source: US Census BureauStatewide ADRC for South Dakota’s single PSA (covers Sioux Falls). Contact from DHS Dakota at Home.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in Sioux Falls.
Can help pay for care if your parent qualifies.
1 VA Community Living Center or State Veterans Home nearby.
VA Aid & Attendance overview →National helplines, including the Eldercare Locator and 211, are listed on paying for care.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →
Sioux Falls's median nursing home cost is about 1% higher than the South Dakota state median.
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Reading up first? Nursing Homes across South Dakota → · Nursing Homes cost across South Dakota → · Assisted Living vs Nursing Homes →
Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.